UP Close Call Reports

Close Call Reporting System

Documents and Forms

Document Name Document Type
Form BTS-0010A UP Close Call Reports Form and Instruction
BTS-0010A UP Report Form UP_Report_Form0010A_2013.pdf www.c3rs.bts.gov Form and Instruction
CIPSEA.pdf CIPSEA IC Document

Information Collection (IC) Details

IC Title:	UP Close Call Reports	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	BTS-0010A	UP Report Form	UP_Report_Form0010A_2013.pdf	www.c3rs.bts.gov	Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 250	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 60 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	250	-480	730
Annual IC Time Burden (Hours)	83	-282	365
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
CIPSEA	CIPSEA.pdf	09/06/2006

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.